AVERA BREAST CENTER
NPI 1467695767
Clinic/Center - Medical Specialty in Sioux Falls, SD

NPI Status: Active since April 16, 2009

Contact Information

1000 E 23RD ST
SUITE 330
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-7465
Fax: (605) 322-1789

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Secondary Locations
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Medical Specialty
Accepts Insurance

About AVERA BREAST CENTER

This page provides the complete NPI Profile along with additional information for Avera Breast Center, a provider established in Sioux Falls, South Dakota operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1467695767 assigned on April 2009. The practitioner's primary taxonomy code is 261QM2500X with license number 10563 (SD). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Avera Breast Center. The authorized official of this NPI record is David Flicek (President/ceo)

NPI: 1467695767
Provider Legal Name: AVERA MCKENNAN
Other Organization Name: AVERA BREAST CENTER
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 1000 E 23RD ST SUITE 330 SIOUX FALLS, SD 57105
Location Phone: (605) 322-7465
Location Fax: (605) 322-1789
Mailing Address: PO BOX 5045 ATTN: PT FINAN SERVICES SIOUX FALLS, SD 57117
Mailing Phone: (605) 322-6400
Mailing Fax: (605) 322-1789
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 04-16-2009
Last Update Date: 01-08-2021
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Location Map

Secondary Locations

2100 S Marion Rd Ste 305
Sioux Falls, SD 57106
(605) 322-1567

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Medical Specialty
Taxonomy Code: 261QM2500X
Type: Ambulatory Health Care Facilities
License No.: 10563
License State: SD
Taxonomy Description: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Ambetter from Home State Health

Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Complete Silver - EPO
Complete Silver + Vision + Adult Dental - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Everyday Gold - EPO
Everyday Gold + Vision + Adult Dental - EPO

Ambetter from Sunflower Health Plan

Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Elite Gold - EPO
Elite Gold + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Everyday Gold - EPO
Everyday Gold + Vision + Adult Dental - EPO
Focused Silver - EPO
Focused Silver + Vision + Adult Dental - EPO

Ambetter Health

Choice Bronze HSA - EPO
Choice Bronze HSA + Vision + Adult Dental - EPO
Clear Gold - EPO
Clear Gold + Vision + Adult Dental - EPO
Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Elite Bronze - EPO
Elite Bronze - HMO
Elite Bronze + Vision + Adult Dental - EPO
Elite Bronze + Vision + Adult Dental - HMO

Ambetter Health of Delaware

Clear Gold - EPO
Clear Gold + Vision + Adult Dental - EPO
Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Elite Silver - EPO
Elite Silver + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Focused Silver - EPO
Focused Silver + Vision + Adult Dental - EPO

Avera Health Plans

ConnectPlus $0 Gold - PPO
ConnectPlus $0 Silver - PPO
ConnectPlus $10,600 HSA Eligible HDHP - PPO
ConnectPlus $1800 - PPO
ConnectPlus $4500 - PPO
ConnectPlus $6500 HSA Eligible HDHP - PPO
ConnectPlus $7500 HSA Eligible HDHP - PPO
ConnectPlus MyWeighForward $2000 - PPO
ConnectPlus MyWeighForward $6000 - PPO
ConnectPlus Standard $2000 - PPO

Medica

Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
Medica Individual Choice Bronze Share - HMO
Medica Individual Choice Expanded Bronze Standard - HMO
Medica Individual Choice Gold $0 Copay PCP Visits - HMO
Medica Individual Choice Gold Share - HMO
Medica Individual Choice Gold Standard - HMO
Medica Individual Choice Silver $0 Copay PCP Visits - HMO
Medica Individual Choice Silver Share - HMO
Medica Individual Choice Silver Standard - HMO
Medica Insure Bronze $0 Copay PCP Visits - EPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DAVID FLICEK
Authorized Official Title: PRESIDENT/CEO
Authorized Official Phone: (605) 322-7916

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
1467695767	MEDICAID (05)	IA
9286132	OTHER (01)		DAKOTACARE
10025807100	MEDICAID (05)	NE
1467695767	MEDICAID (05)	MN
7290280	MEDICAID (05)	SD

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1467695767, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 12 → 1 + 2

Pos 4

Unchanged

Pos 5

Doubled → 12 → 1 + 2

Pos 6

Unchanged

Pos 7

Doubled → 10 → 1 + 0

Pos 8

Unchanged

Pos 9

Doubled → 12 → 1 + 2

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 5 → 10 → 1 6 → 12 → 3